Individual
CHANTAL CASTONGUAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4237 CAMPUS DR STE B159, IRVINE, CA 92612-2758
(949) 854-2033
Mailing address
1455 MONTGOMERY ST, TUSTIN, CA 92782-1793
(714) 580-8857
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27181
CA
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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